Detailed Information

NPI Number 1346473782 has the “Individual” type of ownership and has been
registered to the following primary business legal name (which is a provider name or healthcare organization name) — GARY ROBERT HENSLEY .
Records indicate that the provider gender is “Male”.
The enumeration date of this NPI Number is 09/02/2009.
NPI Numer information was last updated at 07/09/2013.

Provider's other registered legal business name is GARY ROBERT HENSLEY M.D..

The provider is physically located (Business Practice Location) at:

9395 CROWN CREST BLVD
PARKER
, CO
80138-8573
US

The provider can be reached at his practice location using the following numbers:

Phone 303-269-4000Fax

The provider's official mailing address is:

PO BOX 4698
PARKER
, CO
80134-1460
US

The contact numbers associated with the mailing address are:

Phone Fax

The authorized official registered with the “1346473782” NPI Number
is .

The authorized official title (position) is .

You can reach the authorized official at the following phone number .

Scope of Practice

The following information about the speciality of the provider is available:

A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.

In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.

There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.

In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).

As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)

A sole proprietorship may or may not have employees.

Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN.

Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).

4

Provider Last Name (Legal Name)

HENSLEY

The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.

5

Provider First Name

GARY

The first name of the provider, if the provider is an individual.

6

Provider Middle Name

ROBERT

The middle name of the provider, if the provider is an individual.

7

Provider Other Last Name

HENSLEY

Other last name by which the provider being identified is or has been known (if an individual)

8

Provider Other First Name

GARY

Other first name by which the provider being identified is or has been known (if an individual). This may be the same as the ''Provider first name'' if the provider is or has been known by a different last name only.

9

Provider Other Middle Name

ROBERT

Other middle name by which the provider being identified is or has been known (if an individual). This may be the same as the ''Provider middle name'' if the provider is or has been known by a different last name only.

10

Provider Other Credential Text

M.D.

Provider Other Credential Text

11

Provider Other Last Name Type Code

2

Provider Other Last Name Type Code

12

Provider First Line Business Mailing Address

PO BOX 4698

The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.

13

Provider Business Mailing Address City Name

PARKER

The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.

14

Provider Business Mailing Address State Name

CO

The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.

15

Provider Business Mailing Address Postal Code

80134-1460

The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.

16

Provider Business Mailing Address Country Code

US

The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.

17

Provider First Line Business Practice Location Address

9395 CROWN CREST BLVD

The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

18

Provider Business Practice Location Address City Name

PARKER

The city name in the location address of the provider being identified.

19

Provider Business Practice Location Address State Name

CO

The State or Province name in the location address of the provider being identified.

20

Provider Business Practice Location Address Postal Code

80138-8573

The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.

21

Provider Business Practice Location Address Country Code

US

The country code in the location address of the provider being identified.

22

Provider Business Practice Location Address Telephone Number

303-269-4000

The telephone number associated with the location address of the provider being identified.

23

Provider Enumeration Date

09/02/2009

The date the provider was assigned a unique identifier (assigned an NPI).

24

Last Update Date

07/09/2013

The date that a record was last updated or changed.

25

Provider Gender Code

M

The code designating the provider's gender if the provider is a person.

26

Provider Gender

Male

The provider's gender if the provider is a person.

27

Healthcare Provider Taxonomy Code #1

208M00000X

The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.

28

Healthcare Provider Taxonomy 1

Hospitalist

Healthcare Provider Taxonomy #1

29

Provider License Number 1

49254

Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.

30

Provider License Number State Code 1

CO

Provider License Number State Code #1

31

Healthcare Provider Primary Taxonomy Switch 1

Y

Primary Taxonomy:

X - The primary taxonomy switch is Not Answered;

Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);

N - The taxonomy is not the primary taxonomy.

Driving Directions to “ GARY ROBERT HENSLEY ” Practice Location

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Practice Location

These directions are for planning purposes only. You may find that construction
projects, traffic, or other events may cause road conditions to differ from the
map results.